| Changing Lifestyle Counseling Center | |
|
11900 Wayzata Blvd Ste 116g Minnetonka MN 55305-2018 | |
| (952) 542-8751 | |
| (952) 582-9395 |
| Full Name | Changing Lifestyle Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11900 Wayzata Blvd Ste 116g, Minnetonka, Minnesota |
| Authorized Official Name and Position | Marsha Kay Molinari (OWNER) |
| Authorized Official Contact | 9525428751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Lifestyle Counseling Center 11900 Wayzata Blvd Ste 116g Minnetonka MN 55305-2018 Ph: (952) 542-8751 | Changing Lifestyle Counseling Center 11900 Wayzata Blvd Ste 116g Minnetonka MN 55305-2018 Ph: (952) 542-8751 |
| NPI Number | 1295919397 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295919397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 11408 (Minnesota) | Primary |
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